1. EIF National Conference 2017
Putting evidence into action
Breakout 2
Can early intervention make a difference to the most vulnerable children?

2. Isabelle Trowler,
Chief Social Worker for Children and Families
Department for Education

3. Donna Molloy,
Director of Dissemination
Early Intervention Foundation

4. There are some clear messages from evidence about the interventions shown to improve parent-child relationships and outcomes
Work on child protection concludes that there is good evidence to support interventions aimed at [for example] reducing physical abuse, improving outcomes where there is emotional abuse, supporting older maltreated children with trauma symptoms…
Work to support the Troubled Families Programme – interventions with good evidence of improving parent and child outcomes in vulnerable populations
What works to support inter parental relationships and improve outcomes for children in the contexts of poverty and economic pressure – small number of interventions shown to deliver child outcomes
EIF National Conference , 11th May 2017

5. There is a significant gap between ‘what is known to be effective’ from peer reviewed studies and what is delivered in local systems
Forthcoming work on child protection shows that whilst some interventions found to have good evidence are in use in LAs, but these are very small in scale compared with the vast majority of practice
On balance - families and children who receive interventions shown through robust methods to improve outcomes, are more likely to be benefit and to a greater degree than those who receive other services
Sustained effort needed to:
Clearly communicate the evidence
Fill gaps in evidence
Support analytical capacity locally to both apply evidence and evaluate impact of local approaches
EIF National Conference , 11th May 2017

6. Ian Thomas,
Director of Children's Services
Rotherham Borough Council

7. Early Help Journey February 2017: Ofsted Monitoring Visit
January 2016: Launch of the Early Help Offer, Request for Support & Early Help Assessment
February 2016: Step Down Panel launched
January 2017 full integration between Early Help Triage and MASH
February 2017: Ofsted Monitoring Visit
April 2016 (av RFS per month between Jan and April) 848 Contacts into EH Jan – Mar 2016 (average per month 283)
April 2017 (av RFS for year) 3914 Contacts into EH Apr 16 – Mar 2017 (average per month 326)
April 2016: # of EHAs - EHAs completed since the launch between Jan – Mar 2016 – 210 (total number completed including partners)
April 2017: # of EHAs - EHAs completed Apr 16 – Mar 2017 – 1225 (total number completed including partners)
Pre Early Help – 815 FCAF’s completed over the previous 3 year period..
April 2017: total  # of children stepped down in last 12 months – 909 children allocated to Early Help following a Step Down panel between April 16 – April 17 with a further 100 allocated to partners.

8. Early Help Impact
‘Michelle listened to me and all my problems. She has given me emotional support, she told me she understands my problems not judging me but offering me empathy and advice.’
‘I don't know where I'd be or if I would still have my kids if it hadn't been for your help.’

9. Early Help Financial Impact
The estimated unit cost per CiN £1,655 *
The unit cost per Early Help Assessment £949**
A difference of £706
Over six months from October 2016 to March 2017 a total of 629 CiN were stepped down to Early Help which, if it is assumed all would have remained as CiN up to the end of March, gives an in-year pro-rata cost reduction of £156k.
Across a full year the indicative cost reduction based on a similar number of CiN stepping down to Early Help would be £425k.
* 2014/15 EIF the cost of late intervention for children & young people – CiN unit cost based on a 6 month period of case management uplifted to 2016/17.
** Bottom of range

10. Stephen Rimmer,
Director of Impact and Learning
Barnardo’s

11. What it feels like…
Systems Leadership, Early Intervention and Supporting the Most Vulnerable Children

12. Systems Leadership, Early Intervention and Supporting the Most Vulnerable Children Some key issues - Is this evidence-based or a leap of faith? - What data drives genuinely sustainable political commitment? - Strategic delivery partnerships – how far can public services genuinely be transformed a different “balance” between statutory/voluntary/commercial services and services users? - Accountability – Do Inspectorates and others know what good prevention/early intervention outcomes look like? - Culture – “I didn’t get where I am today by being collaborative.” Can leadership behaviours really change?? Mission – What are the new vulnerabilities? post Brexit? Digital? Organisational mind-sets?

13. Dr Warren Larkin,
Consultant Clinical Psychologist
Clinical Lead for Department of Health Adverse Childhood Experiences Programme

18. EIF National Conference 2017
Putting evidence into action
Breakout 2
Can early intervention make a difference to the most vulnerable children?